﻿<style type="text/css">
@import url("css/bootstrap.css");

.formCadastrar{
	margin-left: 100px;
	margin-top: -120px;
	text-align: left;
}
.h2left{
	margin-left:100px;
}
</style>

<link href="css/datepicker.css" rel="stylesheet" type="text/css">
<link href="examples/signin/signin.css" rel="stylesheet">

<div>
	<a href="indexLogadoAdm.php"><img src="img/victim.jpg" width="183" height="117"></a>
</div> 


<div class="formCadastrar">
<br>
<div class="page-header">
	<h2 class="h2left">Dados da Empresa</h2>
</div>

<form class="form-horizontal" role="form" method="post" action="actionCadastro.php" enctype="multipart/form-data">



    <div class="form-group">
        <label for="inputEmail3" class=" col-sm-2 control-label">Nome/Razão Social :</label>
        <div class=" col-sm-4">
            <input type="text" class="form-control" id="RazaoSocial" name="RazaoSocial" required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputEmail3" class=" col-sm-2 control-label">CNPJ :</label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="cnpj" name="cnpj" maxlength="14">
        </div>
    </div>

	<div class="form-group">			
    	<label for="inputPassword3" class=" col-sm-2 control-label">Rua:</label>
        <div class=" col-sm-2">
        	<input name="rua" type="text"  required class="form-control" id="rua" size="50" style="width:200px">
        </div>

        <label for="inputPassword3" class="col-sm-0 control-label">Nº:</label>
        <div class=" col-sm-2">
            <input name="numero" type="text"  required class="form-control" id="numero" maxlength="5" style="width:80px">
        </div>
    </div>

     
    <div class="form-group">
           <label for="inputPassword3" class="col-sm-2 control-label">Bairro :</label>
       <div class="col-sm-4">
           <input type="text" class="form-control" id="bairro" name="bairro"  required>
      </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Cidade :</label>
        <div class="col-sm-4"  height:" 3px " padding: "6px 2px">
            <input type="text" class="form-control" id="cidade" name="cidade"  required>
        </div>
    </div>
    
     <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Estado :</label>
        <div class="col-sm-4">
              <select name="estado" class="form-control" id="estado" style="width:90px">
                <option value="uf" selected>UF</option>
                <option value="ac">AC</option>
                <option value="al">AL</option>
                <option value="am">AM</option>
                <option value="ap">AP</option>
                <option value="ba">BA</option>
                <option value="ce">CE</option>
                <option value="df">DF</option>
                <option value="es">ES</option>
                <option value="go">GO</option>
                <option value="ma">MA</option>
                <option value="mt">MT</option>
                <option value="ms">MS</option>
                <option value="mg">MG</option>
                <option value="pa">PA</option>
                <option value="pb">PB</option>
                <option value="pr">PR</option>
                <option value="pe">PE</option>
                <option value="pi">PI</option>
                <option value="rj">RJ</option>
                <option value="rn">RN</option>
                <option value="rs">RS</option>
                <option value="ro">RO</option>
                <option value="rr">RR</option>
                <option value="sc">SC</option>
                <option value="sp">SP</option>
                <option value="se">SE</option>
                <option value="to">TO</option>
              </select>
	        </div>
    	</div>
    
    
<div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Cep :</label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="cep" name="cep"  maxlength="8" style="width:90px" required>
        </div>
    </div>
    
    <div class="form-group" >
        <label for="inputPassword3" class="col-sm-2 control-label">Telefone  :</label>
        <div class="col-sm-1" >
            <input type="text" class="form-control" id="fone1"  name="fone1" style="width:110px" maxlength="8" required>
        </div>
        
        <label for="inputPassword3" class="col-sm-2 control-label">Telefone  :</label>
        <div class="col-sm-1">
            <input type="text" class="form-control" id="fone2"  name="fone2" style="width:110px" maxlength="8" required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Ramo  :</label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="ramo" name="ramo"  required>
        </div>
    </div>
    
    <br> <br>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label"><strong>Responsável¹   :</strong></label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="responsável1" name="responsavel1"  required>
      </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Email :</label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="emailRespo1" name="emailRespo1"  required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Função :</label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="funcaoRespo1" name="funcaoRespo1"  required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Telefone :</label>
        <div class="col-sm-1">
            <input type="text" class="form-control" id="foneRespo1" style="width:110px" name="foneRespo1"  required>
        </div>
        <label for="inputPassword3" class="col-sm-2 control-label">Telefone :</label>
        <div class="col-sm-1">
              <input type="text" class="form-control" id="fone2Respo1" style="width:110px" name="fone2Respo1"  required>
        </div>
    </div>
    
        <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label"><strong>Responsável²   :</strong></label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="responsavel2" name="responsavel2"  required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Email :</label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="emailRespo2" name="emailRespo2"  required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Função :</label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="funcaoRespo2" name="funcaoRespo2"  required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Telefone :</label>
        <div class="col-sm-1">
            <input type="text" class="form-control" id="foneRespo2" style="width:110px" name="foneRespo2"  required>
        </div>
 
        <label for="inputPassword3" class="col-sm-2 control-label">Telefone :</label>
        <div class="col-sm-1">
              <input type="text" class="form-control" id="fone2Respo2" style="width:110px" name="fone2Respo2"  required>
        </div>
    </div>
    
        <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label"><strong>Responsável³   :</strong></label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="responsavel3" name="responsavel3"  required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Email :</label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="emailRespo3" name="emailRespo3"  required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Função :</label>
        <div class="col-sm-4">
            <input type="text" class="form-control" id="funcaoRespo3" name="funcaoRespo3"  required>
        </div>
    </div>
    
    <div class="form-group">
        <label for="inputPassword3" class="col-sm-2 control-label">Telefone :</label>
        <div class="col-sm-1">
            <input type="text" class="form-control" id="foneRespo3" style="width:110px" name="foneRespo3"  required>
        </div>
        <label for="inputPassword3" class="col-sm-2 control-label">Telefone :</label>
        <div class="col-sm-1">
              <input type="text" class="form-control" id="fone2Respo3" style="width:110px" name="fone2Respo3"  required>
        </div>
    </div>
    
    
    <br>
    <div class="form-group">
      <div class="col-sm-offset-2 col-sm-10">&nbsp; &nbsp;
        <button type="submit" class="btn btn-primary" name="rhAlterar">Alterar</button>
        <a href="indexLogadoAdm.php"><input name="cancelar" class="btn btn-primary" value="Cancelar" size="8"></input></a>
      </div>
    </div>	   
    
    
           
                  
</form> 
      

                                                                       

    

 
    
</div>